In mid October 1922 Crowley departed for Cefalu, stopping off in Rome where he wrote to Raoul: 'I hope you will come p.d.q. and bring Betty. I honestly tell you that the best hope for your married life is to get out of the sordid atmosphere of 'Bohemian London...' By 4th November Crowley was at his Abbey.
Also on the same day, Sunday 11th February, Raoul wrote a letter to his parents which Betty posted for him, the letter explained that he had been suffering from malaria for 'about ten days now and it has left me as weak as water. As you see I have had to get Betty to write this letter for me. The doctor here is giving me various things but I do not seem to be making much headway. I trust, however, that by the time you get this letter I shall be quite well. Betty, herself has been unable to keep anything in her stomach for the last week but I think she is just on the turn now. I believe that the air or the water or something here, perhaps the place, does not agree with me.'
Betty May left Cefalu on Tuesday 20th February and returned to England. Her fare was paid by the British Consul at Palermo.
On Friday 23rd February Crowley writes a letter to his friend and follower, Frank Bennett - Frater Progradior, saying that he has 'been quite seriously ill for 6 weeks or more, only on one or two days able to leave my bed. My principle assistant here, Frater AUD, a boy of 22, the most brilliantly promising magician I ever even dreamt of, came here on Nov. 26 and died last Friday. It is an absolute knock-down blow. I had built the greatest hopes on him as a helper. He had just come down from Oxford with First Class honours in History, he understood the Law, the principles of Magick and Yoga almost, as it were, by instinct.'